Perimenopause Answers

Perimenopause Spotting

You may know that the most common symptom of perimenopause is a skipped period or irregularity in the menstrual cycle. What many women don't know, however, is that the symptom of irregular periods is often accompanied by another symptom known as perimenopause spotting.

Why does perimenopause spotting occur?

Unlike many of the other symptoms of perimenopause, spotting is actually a very natural and normal side effect of having irregular periods. It is directly linked to irregular periods. Even young girls who are just starting their menstrual cycle, and who do not have regular menstrual cycles yet experience spotting. The only difference is that in young girls, hormones are imbalanced because they're just starting up, and in perimenopausal women, hormones are imbalanced because they are slowing down.

Doctors are unsure whether it is a lack or excess of progesterone that causes perimenopause spotting, or whether it is a lack or excess of estrogen. All they know is that as the two main hormones begin to work out of sync, irregular periods happen and spotting occurs. Usually it occurs before or after a period, or between periods that have very short cycle lengths.

Should you worry?

For the most part, perimenopause spotting is nothing to worry about. It's a side effect. Unless spotting occurs in excess, for example over a week and with no menstrual period, then women should not worry. However, if the spotting does occur for a week or over a week, is accompanied by pain in the vaginal area, and some days are heavier than normal, then it's best to consult a doctor.

Try to remember or find a way to document all symptoms or feelings that accompany the spotting. For example, did you have a hot flash before the spotting began? When the spotting started, did you begin to lose your hair? These little details are important to keep note of so that your doctor will be able to assess the entire situation properly, and make sure there are no underlying issues such as dieseas or infection.

What can be done for perimenopause spotting?

Depending on whether or not you have accompanying symptoms, doctors are likely to address the irregular period symptom as a manner in which to address the spotting. Some doctors turn to HRT or estrogen therapy, and some recommend low dose birth control pills. If natural remedies for regulating the menstrual cycle works for you, then this is also another option for reducing the occurrence of perimenopause spotting. Given the different options, and because medical history can play a role in your treatment options, it is really best that you see your doctor before deciding on a treatment.

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